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Death Certificate - Smith, Herbert Chester_6/10/1969RECORD OF DEATH . �+ _ " ,� : _ GIBSON COUNTY DEPAR�4'fENT.OF HEALTH . ' � . . � � � . ' � - � ,�� PRINCETON, INDIANA ' . , � � � THIS IS TO CERTIFI', that our records'show � HERBEIiT CHESTEH SMITH ' died ' June 7 2969 � at 3AM Gib. Gen: Hosp. Princeton, Ind. month ' . day � �year � �� hour'of death . � street,�hospital, rural� , Age at'Death $2 Sex Hsal P =Color White Married - � y�Iy � � write whether married. or single� �-� Primary cause of death.given was :qdenocaTCinoma of llver Signed.by R. G. Geick, i+ID Ft: Branch. Z.+d. � _ _ : � - "— , , -:ph}°sician'or coTOner' - . � ' : ' � '� - ' address � ' - Place of burial or removal Walm �. Ai l � CPmPtPr�. Ft.. Rranr.h� Tnd: - name of cemetery . � , - , _ 'address . � , � Date of buria 6 6 I A � � Funeral Director d �s- ' � � , .. � __a . . . � � . � � - � ; , . - SEAL ,� ' , . _ Signe ' � : , ��, �; _ � ' . _' Gibson County Health Commissioner . . ,.,' .% '- . - Princeton, Ind:. ' : 6/10/69_ " _, � : 8aa�55 , , �� Recorde�?-1oca11y in book No.` 7" page No. 24R Ftiled: F/l n/K4" - �